Organization
ELIANA PHARMACY INC
Active
Other names
ST Mary Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMY MASSOUD (CEO)
(562) 708-6863
Entity
Organization
Contact information
Practice address
13641 CENTRAL AVE STE E, CHINO, CA 91710-5133
(714) 541-8150
(714) 442-8370
Mailing address
13877 HOLLYWOOD AVE, EASTVALE, CA 92880-8822
(714) 541-8150
(714) 442-8370
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5636064
NCPDP PROVIDER INDENTIFICATION
CA
01
—
PHY60481
BOARD OF PHARMACY
CA
Enumeration date
09/19/2009
Last updated
01/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us